MEDICARE: ORMOND BEACH DENTAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DN16350	FL

General Provider Information

NPI Number	:	1124257175
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORMOND BEACH DENTAL GROUP

Provider Business Mailing Address
First Line	:	802A STERTHAUS AVE
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5132
Country	:	US
Telephone Number	:	877-676-6631
Fax Number	:

Provider Business Practice Location Address
First Line	:	802A STERTHAUS AVE
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-5132
Country	:	US
Telephone Number	:	877-676-6631
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ DENTIST
Name	:	DR. KERRI A GRAHAM
Credential	:	D.M.D.
Telephone Number	:	877-676-6631

Provider Enumeration Date	:	07/13/2009
Last Update Date	:	11/08/2013

Similar Medicare Providers

1497155741 — ZUZANA SEGEV PH.D., ARNP,PMHNP-BC
Practice Location Address:

800 STERTHAUS DR STE A
ORMOND BEACH, FL
32174-5132

Practice Phone: 386-400-3077
Practice Fax: 949-404-8439

1235845744 — NEFESH PSYCHIATRY LLC
Practice Location Address:

800 STERTHAUS DR STE A
ORMOND BEACH, FL
32174-5132

Practice Phone: 386-400-3077
Practice Fax: 949-404-8439

1821062019 — DR. KERRI-ANN GRAHAM MICHAUX D.M.D.
Practice Location Address:

802 STERTHAUS DR STE A
ORMOND BEACH, FL
32174-5132

Practice Phone: 386-868-4483
Practice Fax: 321-445-5364

1285668137 — EADS MEDICAL PRACTICE
Practice Location Address:

800 STERTHAUS AVE STE A
ORMOND BEACH, FL
32174-5132

Practice Phone: 386-673-5411
Practice Fax: 386-673-2285

1982916391 — DR. BRAD D TEPPER DC
Practice Location Address:

800 STERTHAUS DR , SUITE A
ORMOND BEACH, FL
32174-5132

Practice Phone: 386-310-7246
Practice Fax:

1891005369 — FIRST CHOICE CHIROPRACTIC OF ORMOND, INC
Practice Location Address:

800 STERTHAUS DR , SUITE A
ORMOND BEACH, FL
32174-5132

Practice Phone: 386-310-7246
Practice Fax: 386-310-4952

Directions to “ORMOND BEACH DENTAL GROUP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.